实施护理教育计划对减少颅内手术患者术后并发症的影响

Furat Hussein Mahmoud, Sabah Ahmed Ammar, Baghdad Hussein Mahmoud
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摘要

背景:由于大脑结构复杂,神经外科手术的发病率和死亡率都很高。从轻微的手术恶心和呕吐到灾难性的神经系统退化,后果可能千差万别。目的:确定实施护理教育计划对减少颅内手术患者术后并发症的影响。设计:准实验研究设计。环境:研究在埃及开罗艾因夏姆斯大学附属埃尔德梅尔达什医院的神经外科护理病房和门诊进行。研究对象患者分为两组:对照组(30 名接受常规护理的患者)和接受护理教育计划的研究组(30 名患者)。工具:使用三种工具收集数据,包括I:颅内手术患者健康状况评估问卷;II:术后并发症评估问卷;颅内手术患者护理教育计划。结果:研究组 30.3% 的患者年龄在 30 岁至 40 岁以下,对照组 36.4% 的患者年龄在 30 岁至 40 岁以下和 40 岁至 50 岁以下。在性别方面,研究组和对照组中分别有 57.6%和 60.6%为女性。在教育程度方面,研究组和对照组中分别有 48.5%和 39.4%的人受过中等教育。就患者的知识总量而言,研究组中教育计划后与计划前相比具有高度统计学意义的相关性。结论在教育计划前后,研究组患者的知识总量与术后全身并发症和神经系统并发症之间存在正相关。建议:每位脑外科患者都应参加教育计划。建议护士接受有关脑外科手术患者护理的在职培训。建议对更大样本进行进一步研究,以达到推广效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of Implementing Nursing Educational Program on Reducing Postoperative Complications for Patients after Intracranial Surgery
Background: Because brain structures are complex, neurosurgery is associated with high rates of morbidity and death. From minor surgical nausea and vomiting to catastrophic neurological degeneration, the consequences might vary widely. Aim : Determine the effect of implementing nursing educational program on reducing postoperative complications for patients after intracranial surgery . Design: a quasi-experimental study design. Setting : The study was conducted at the neurosurgical care unit and outpatient clinic at Eldemerdash hospital affiliated to Ain Shams university hospital Cairo, Egypt. Subjects: Purposive sample of sixty adult patients of both genders after intracranial surgery (burr hole, craniotomy and craniectomy).The patients divided into two groups: the control group (30 patients who received routine care) and the study group (30 patients) who received nursing educational program. Tools: three tools were used to collect data include: I: intracranial surgery patients' health status assessment questionnaire, II: postoperative complications assessment questionnaire, the nursing educational program for patients undergoing intracranial Surgeries. Results: among the study group 30.3 % of their age ranged from 30 to less than 40 while the control group 36.4 % aged from 30 to less than 40 and 40 to less than 50. Regarding to gender 57.6 % and 60.6% were females among the study and control group respectively. Concerning educational level 48.5%, and 39.4% had secondary school of the study and control group respectively. Regarding to total patients knowledge there is a highly statistically significant correlation post the educational program than pre the program among the study group. Conclusion: There is a positive significant correlation between total patients knowledge and post-operative systemic complications and neurological complications among the study group pre and post the educational program. Recommendations: Every patient having brain surgery should get the educational programme. It is advised that nurses get in-service training about the care required for patients undergoing brain surgery. Further research on larger sample is recommended to achieve generalization.
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